11280 SW QUELLE PLACE 11280 SW QUELLE COURT
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BUILDING PERMIT APPLICATION rIGARD DATE _.._1- x20 _.____,19 4385
THE UNDERSIGNED HEREBY APPLIES FOR A PERM' i FOR INE WORK HEREIN INDICATED BUILDER PHONE 639-4156 -
OR AS SHOWN AND APPROVED IN THE ACCiMr ALAYING PLANS AND SPECIFICATIONS. OWNER PHONE __
LOTNO.--32. (iou sis
OWNER iso! tt3611t9dr JOB ADDRESS 1126So le i lace _
ARCHITECT
ENGINEEP
BUILDER 'Xmer i ADDRESS above —_ DESIGNER
STRUCTURE _ ❑ NEW ❑ REMODEL _ ® ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
[In RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T-❑ RELIGIOUS O PATIO ❑ CARPORT II GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _— ' ' LAND USE ZONE .d--T_BLDG.TYPE `?+' _FIRE ZONE - PLAN CHECK BY .. HEAT—* -
- - .:>r,.ntruct ')'Pa Addition to single" falraily dWellinil
- -
on convection srhret attached. plumb. pernit require
SEWER PERMIT k -
OCC.LOAD — FLOOR LOAD HEIGHT NO.STORIES 1 AREA 14 NO.BEDROOMS VALUE
BUILDING DEPARTMENT -� SETBACKS FRONT ` REAR LEFT SIDE RIGHT SIDE
Permit _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
r J REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT IHE
Plan Check �4 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOEj NOI WAIVE
Sub-total _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB r CNI RACTORS TO HAVE CURRENT CITY BUSINESS
-- LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,r LUMBING AND HEATING.
State Tax
- SDC—
Total
DC—Total --
-
By F')CN A�PLICANT MIAG
EN ..
)r 4 I -- — Receipt No. % _ �,,:.� ,1� J/ A c OF-
Approved
rn /Trr_
ApprovedOFiESS E��
DATE INSP. TYPE INSPECTION REMARKUR PLUMBING DATE
Contractor (uHew—
Permit No.
Rough-in
Fixture --------- — ---
Final
a�-• / HEATING
_,:_, y��. •��.. Contractor
Permit No.
Gas or Oil
Rough-inFinal
--- - ---- � SEWER-- —
Final
DRIVEWAY -
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
SLOG. DEPT.I"INAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY `l final
Landscaping
Zoning Final
a�sta�
BUILDING PERMIT APPLICATION TIGARD DATE 1—a _ts—n-
THE UNDERSIGNED HEREBY APPLIES FOR/,PEWAIT FOR TETE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACr:otJlPANYIN�G}PLANS ANO SPECIFICATIONS, OWNER PH vE_
/�1 2gU 10 �d��.�.• LOT NO.-7� ENQ:�—
OWNER /t f�d J09 AD�'�eSS I�--- Qk -
-` ARCHITECT
dw. ENGINEER
BUIIJ)ER OWI)w ADDRESS �_— _ DESIGNER -
STRUCTURE ❑ NEW ❑ RITMODEL W ADDITION ❑ REPAIR U RENM'AL ❑ FIRE DAMAGE ❑ DEMOLITION
-RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOVT ❑ RELIG!OI_IS ❑ PAT 10 ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
th:Gi+FANCY LAND USE ZONE �!�_BLOC.TYPE ^/_FIRE ZONE--"';��l--���PLAN CHECK BY _ — HEAT__�
SEINER PERMIT M b
OCC.LOAD _ FLOOR LOAL HEIGHT ___NO.STORIES AREA .2/g NO.BEDROOMS VALL-gt',x 0
BUILDING DEPAOTMENNT SETBACKS FRONT YO HEAR d LEFT FILE RIGHT SIDE _
Permit — �v"�Q THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,7.0WNG
REGULATIONS AND ALL APPLICABLE CODE'S AND ORDINANCES, AND IT IS HEREBY AGREED T'?-'.AT THE
FtanCheck T7• r3 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
�' s• WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal _— 3. 6 RESTRICIIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CIT BUSINESS
2• . LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
;slats Tax
SDC—
Total --- -�-`�-�-- -- --- ------------ - --
PDCA APPUCANIORAGENT
By
Receipt No.
Approved ADDRESS -PHONE
SDG -
PDC -- S # --
SEWER CONNECTION a
;EWER- _INSPECTION_ $
SEWER SURCHARGE 5
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/ •! �..�" = •Jf}t+7\�+ t �' �' #"`�`' Yl4' �+�t� rOl� 1!(c 1 k. ,�}N �� af( �.» 'L
w -•Ifl e!, r _ r.y dl x Q(i ..t,"vc.y = ff+' '•r ',M v� 4 ��
Mlll�ttq Tv>\ � P "�fl;�t�".�'l AKIN't� {11i,y{}44��=
� ? `+rt' ►.�tfy�;� �,.(, n ►.���$\' .4 � � 1'� 4 $t� :ah`,.�f ItrJo••�►�`�i1.s..f.. .t. III•����v i` 1�
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f °,'�`�,'''/•':• ..R .1 - �'lf •,•:•+ till.
.==n
AMORESS PERP111' NO .
PERMIT CHARGE none
oli%ER CONNECTION FEE
PAW BY
'TYPE OF BUILDING OATE CONNECTED
SERVICE RAFT INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF' CONIIIJECTION ASSESSMENT PAID
12 -7/77
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BUILDING DEPARTMEN' i, TIGARD t
N �
PLUi - '!•3 ppEli X31 216
1� � A.Peninsula Plumbing ortla1 7LCo.� P.O. :3ox 16307.j., holder of a valid plumbing contractors license is hereby
authorized to cause plumbing v/ork as herein noted to be installed in accordance With the plumbing code of
Tigard. Such insta113tions require inspection by the City Inspector vvho shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and subcontractors. Job address: 11280 S.W. Quele St.9 Tigard
Ovvner.--Chew Homes j_jnc. _ _ Address 2811 S.E. Roswell LPortland Date—_6/25/7 _
., -- .-
? NUhtiF_R OF TOTAL. PERMIT NO.'S
�— TYPE OF PERMIT ITEMS FEE ON EACH AT,iOUNT (Office Use Only)
Single EnmV1_1-bath_43:14 _ l 25.00
DuvleK-Each 1 b_a:h unit25 a0
_
Additional bd'hrodrm-each _10 d0 -- 10.00^ {
_ _.___.. 0 00 t
INDIVIDUAL—FIXIUR_F_ F_EE5_ �—
-1 to 50 Flxtur n 1_buildina vch _ _ 3µ00 +-
51 to_100 Fic:u m 1 bij- cLin _e-ach -- _ 250 �—
_101 t4 2on F i.<< ; I building. -ja0i•.
2111 tlr rnon. r,z•. n
I build •-eau r1 -
h
MISCELLAN7011S
Buil ling„!w-.r -1 `i l ft. 10.0.0
Sawar-_sack :i.,:.idl 100 ft_ 10 on
1hnldr 9kivira tb buihlin
! _Priyatn Water 5ystrme—er.ch 100 ft._ — 10,00
a _othr7_t$^_ir,�lw--•_..._�..___.
PfF;r..1T _ .00 PorPhlmbnvin;,: :tr.:r?,r�;1:`E.79J171
.40
-- -f A--1.-. PIurTlhir.9 Conti icti.
TO36.4---
36.4fi ;(:EIf') rJ;7. 111u�d By f
CITY 1�A
BUILDING PERMIT APPLICATION of TIGARD r,A,F___ 28
1HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR fHE WORK HEREIN INDICAIED BUILDERPHUL=
OR AS SHOWN AND APPROVe:D IN i HE /I CCi)MPAN'YING PLANS AND SPLCIf (CATIONS OWNERP"0,
LOT NO 2
OWNLR L6fa1in JOR ADDRESS ?fl ) 4+J Wla01%#J IA. HOML ADDRESS
ARCHITECTjj,- RW 0 '6n '-
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE _ NEW ❑REMODEL :,ADDITION ❑REPAIR ❑RENEWAL []FIRE DAMAGE []DEMOLITION
❑ RESIDENCE CICOMM ❑EDUCATIONAL ❑GO /'T ❑FIE LIGIOUS❑PATIO ❑CAR PORT ❑GARAGE [:]STORAGE❑SLAB ]FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCYL—-. LAND USE ZONE F-r7 BLDG.TYPE r' FIRE ZONE.. PLAN CHECK BY L TI.: HEAT,_
[:Vrt>Y�x'l�I.1 '--a4o,,lLPAml.(y awsllifoj ti/et:tachrGjojazows�_ 3 04,oroum 6pth.
°,;Flu o t Permit ! -.-,738 J,G7.:i•OQ ----
UCC,_LQA_U __-E_1QUR LOAD _4t1 _ HEIGHT —i G NO_$IQRIES �1�EA �l NS2. 1254QitiL,$- VALU
BUIL DING DEPARTMENT SET fIACKS FRONT REAR LEFT SIDE 1 ' RIGHT SIDE
Permit '22`a•00
THIS PERMIT IS 'SSLIED SUBJECT TO THE REGULATIONS CONTAIW!D IN THE BUILDING CODE, ZONING
Plan Check 112. °►CJ REGLLATIONS AND ALL APPLICABLE CODES AND OPDINANCES, AND IT IS HEREBY AGREFO THAT THE
WORIK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANDS,"ECIFICATIONS AND IN COMPLIANCE WITH
Subtotal `1370 ��� ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTVICTIVE COVENANTS. CONTP.ACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Talf T T, EICIEN;E. SEPARA?E..EOMITS REQUIRED FOR SEWER, PLUMBING AND HEATINI.
Total ,r► • 'a(I i:,ill; r, 1 ll(]JUO•((I"
By «l
--n— —� �' APPLIuANT Op AGENt--------------
Approved Receipt No
DATE INSP, TYPE INSPECTION REMARKS P.,UM91NG 'DATE
Contractor
7,9 Permit No.
Rough-in
r-.Po-7'Y irav -72,4&77
04- Fixture
-- Final
p _ 1 �/` 1 /— ! F/�I'r riZ DH<" 1<F"lfAi - !,EATING
t_
Contracts•
Permit PJC.
% VA
Gas«Oil
Rough-In
Final
SEWER
Final
DRIVEWAY
Final
Storltt Drainage
(Rein Drain!Final
Sidewalk
Curb&Street Final
Approach _
BLDG.DEPT.FINAL TCMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
3'JILDING PERMIT APPLICATION "OFY r ','ZD DATE L p.____,19 � NQ
HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE'—
nS SHAWN AND APPROVED IN THE ACCOMPANYING PLANS ND SPECIFICATIONS A "+_�+PI
R B ADDRESS HOME ADDRESS ~
acY _ 2!z!.��.l. . __._ E,�kxal�,r4L�-
- ARCHIL Lrp r
- ' ENGINEeR,s?D 7� /4�/�Cir�,ap//e�
LR — - --- — ADDRESS --- --- DESIGNER .� gAAA .L� G7" r�}217Z/D_
LIRE KNEW ❑RFMODEL ❑ADDITION rOREPAIR ❑RE.NEWAL 01"IRE DAMAGE UDEMOI (TION
X C'NCF DCQMM ❑EDLICATIONAL— OGOV'T_DRELIGIOUSL..IPAT10-OCARPORT- ❑GARAGE ❑STORAGES! AR- ❑FENCE
FOND 0MOV ING ❑CONDITIONAL USE 0DF61GN REvIEW ❑COUNCIL APPROVED ❑SIGNS
_ BI DG TYPE `!� FIgF LONE PLAN CHECK BY HIcAT �
cy-0 3 LAND USE Z0NEU _
W17' ILIAD FLOOR_l.4PR u - ---HEJSiHT - ------__IVQ� .QR,I1;$ - AFtF,p ANO.BEUROO .S VAI,
riin� Iir. II I'.uIh9ENT �"' ,�' 1
SETBACKS FRONT_, _ REAR- �� LEFT SIDE lS RIGHT SIDE
'rltnrt �,1.)�OD
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE. BUILDING CODE, ZONING;
Plan Check I PFGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TH--
WORK WILL BE DONE. IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WIIN
5uh iotei ALL APPLICABLE CODES AND 016DINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- - RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES!;
Statp TLICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total S•0
BY -- —_ --- -------- --
-- - - — APPI ICANI OR AGF N1
Appin",d Receipt No.
AUUp 55 T'HONE
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